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<br /> NOTICE OF DEED.RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions"
<br /> which may be more restrictive than County regulations. The undersigned.�assumes responsibility for compliance:with,any�
<br /> applicable deed restrictions. � , , � . � _ , �
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPOfdSI�ILITIES: If the owner �has hired a contractor or
<br /> contractors to undertake work; they`may�be required to be licensed-in accordance with.state and local.regulations. If the
<br /> contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation.
<br /> under state law. If the owner or intended contractor are uncertain as-to what-licensing requirements may apply fo�the
<br /> intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing.Section,at.727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he�-is-advised-to have the cont�actor(s)�"sign
<br /> portions of the "contractor Block" of this application for which they will be responsible: If you, as the owner sign as the
<br /> contractor, that may be an indication that he is not properly licensed and is not entitled_to permitting�privileges in�Pasco"
<br /> County. _
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AR1D RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees.and Recourse Recovery Fees may apply to the construction of-new buildings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07�:and�
<br />' 90-07, as amended. The��undersigned,also understands, that such fees, as may be"due, will-be identified at the time of
<br /> permitting. It is further understood that Transportation Impact Fees and Resour.ce Recovery-Fees must be paid�prior,-:to
<br />' receiving a "certificate of occupancy° or final power release. If the-project does not involve a certificate of occupancy or
<br /> final,power release, the fees must_be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees-are due, they must be paid prior to permit issuance in accordance with.applicable Pasco County ordinances. -
<br /> CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500:00 or m'ore, I
<br /> certify that I, the applicant, have-been provided with a,copy of the "Florida Construction Lien Law—Homeowner's.
<br /> Protection Guide" prepared by.the Florida Department of Agriculture and Consumer Affairs. If the applicanf is�someone
<br /> other than the"owne�', I certify that I"have obtained a copy of the above described document�and�promise in good faith to
<br /> deliver it to the"owner" prior to commencement. -
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all`work
<br /> will be done in compliance with all applicab,le laws regulating construction, zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
<br />� commenced prior to issuance.of a permit and that all work will be performed to meet standards of all laws regulating
<br /> const�uction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations of other government agencies may apply to the intended work,.and that it is
<br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> . - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> L'ands, Water/Wastewate�Treatment. � �
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses. .
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Watervuays.
<br /> - Department of Health & Rehabilitative Senrices/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br />� - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the use of fill: ' � ,
<br /> - Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
<br /> - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
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<br /> compensating volume will be submitted at time of permitting which is prepared by a professional engineer
<br /> licensed by the State of Florida. S
<br /> - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - If fill material is to be used in any area, I certify that use of such fill will not ad�ersely affect adjacent
<br /> properties. If use of fill is found to adversely affect adjacent-properties, the owner may be cited for violating
<br /> the conditions of the.building permit issued under the attached permit application, for lots less than one (1)
<br /> acre which are elevated by fill, an engineered drainage plan is required.
<br />, If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
<br /> this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
<br />� plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
<br /> permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
<br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans, construction or violations of any codes. Every permit issued�shall become invalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a period of six(6) months after the time the work ist,commenced. An extension
<br /> may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned;
<br /> ;
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUI�
<br /> PAYING TINICE FOR IMPROVEMENTS TO YOUR PROPERTY. .IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br /> --- - WITFI-YOUR=LENDER OR-AN-A�OIa�IEY-BEFOlZE RECORDIAIG V-�D.UR-NO E-OF COlV11VIEN�El1lIEEd�.-- -------
<br /> FLORIDA JURAT(F.S.117.03)
<br /> OWNER OR AGENT CONTRACTO �
<br /> Subscribed and swom to(or affirmed)before me this Subscribed and o(atr� rm�ed befor me `�
<br /> bY _/�D�-(P'j� bY --��'�
<br /> Who is/are personally known to me or has/have produced W o is/are ersonall k own to me or has have produced
<br /> as identification. � �� ���l Co�S2 as identification. ,
<br /> e ;
<br /> Notary Public tt�c� Notary Public
<br /> Commission No. Com is 'on o.•"":"'�•. UELINE BO S �
<br /> =; ':: Commission#FF 150422
<br /> - �' Ex ires December 12,2018
<br /> Name of Notary typed,printed or stamped . Name of Nota.�y b�;2, ,°��IM@Q��YN61�F�7�ronee800.385-7079
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